I want to enroll in the EnviroWatts program and
support the research and use of renewable
energy.
I agree to pay the extra charge of $2.00 per 100-kilowatt hour block on my monthly electric bill
as
indicated below.
| 1 block at $2.00/month | |
| 2 blocks at $4.00/month | |
| 3 blocks at $6.00/month | |
| blocks at $2.00/month (per block) |
| Member Name | |
| Mailing Address | |
| City, State, Zip | |
| Phone Number | |
| Account # | |
| Signature | ______________________________________________________________ |
Please print and return to:
| Pioneer Electric Cooperative |
| 344 West U.S. Route 36 |
| Piqua OH 45356 |